10,187 Chain-Owned Nursing Homes in the United States
10,187 of the 14,697 Medicare-certified nursing homes in the United States (69%) are chain-owned, and all are listed below. 1307 of the 10167 graded homes earn an A and 743 earn a D or F. They average 3.7 nursing hours per resident per day, 0.16 hours below the 3.86 for every home in the United States. Deerfield Health Care Center in Urbandale grades highest at A (100 out of 100).
How chain-owned homes in the United States compare
This group set against every nursing home in the United States, from the current CMS release.
Lakeshore Manor runs on 2.90 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 24% below what the building manages Monday through Friday. Staff turnover sits at 56.6%, well above the 45.8% national figure. The inspection record shows 44 deficiencies, nine of them at harm or jeopardy level and four tied to abuse, with three fines totaling $259,803. CMS has placed it in the Special Focus Facility program, which is reserved for the poorest performers. A for-profit LLC owns the 110-bed building; its most recent inspection was December 10, 2025. If you're considering this one, ask what the correction plan actually looks like.
Athene Nursing and Rehabilitation runs 282 certified beds in Town and Country under for-profit LLC ownership, and the staffing numbers are the first thing that stands out. At 2.90 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop another 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover runs 61.2% against a national 45.8%, meaning the aides and nurses caring for residents are, more often than not, new to the building. The inspection record shows 111 deficiencies, including four at harm or jeopardy level and nine tied to abuse, with eight fines totaling $145,782. The most recent inspection was January 13, 2026, so the record is current, not old.
Jourdanton Nursing And Rehabilitation runs on 2.76 nurse hours per resident per day, about a quarter below the national average, and weekends are thinner still, roughly 17% less staff than weekdays. That staffing pattern sits behind a one-star CMS staffing rating, and the turnover number is the one that would worry me most: 90.5% annually against a national average of 45.8%, meaning most of the people caring for your relative are new, or about to be.
The inspection record shows 31 deficiencies, including two at the harm level and one abuse-related, with $28,334 in fines. Corporate-owned and for-profit, its most recent inspection was January 2026, so the record is current rather than dated.
Birchwood Park runs on thin staffing. At 3.06 nurse hours per resident per day, it's about 21% below the national average, and weekends drop roughly another 20% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 63.6% against a national 45.8%, which means the people caring for your relative are frequently new. The inspection record is heavier still: 114 deficiencies, seven at harm or jeopardy level, ten abuse-related, and a $131,178 fine. Virginia Beach has plenty of options; ask this one directly how it plans to fix staffing before you decide.
Whispering Pines Lodge runs leaner on nursing hours than most homes in Texas and nationwide, and weekends are thinner still, roughly one-sixth less coverage than a weekday. Staff turnover is the number that should stop you: more than nine in ten caregivers left over the past year, against a national rate under half that. The inspection record backs it up, 60 deficiencies, a dozen serious enough to put residents in harm's way, and five tied to abuse, with over half a million dollars in fines. CMS has placed it in the Special Focus Facility program, its most intensive monitoring tier, following a January 2026 inspection.
Avir At Converse runs on 3.00 nurse hours per resident day, roughly 22% under the national average, and weekends drop about 17% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 67.2% against a 45.8% national figure, which means caregivers are cycling out faster than residents can get used to them. The inspection record shows 50 deficiencies, four serious enough to put residents at harm or jeopardy, plus one tied to abuse, and $43,845 in fines. State inspectors were last on site in June 2026.
Allure Of The Quad Cities runs 149 certified beds in Moline under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.34 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends drop roughly another 12% below its own weekday level. Annual turnover of 60.6% is well above the 45.8% national figure, so aides are cycling through constantly. The inspection record backs that up: 48 deficiencies, seven at harm or jeopardy level, twelve tied to abuse, and four fines totaling $294,890, with the most recent inspection in November 2024.
Mattoon Rehab & Hcc runs 148 certified beds as a nonprofit, but the numbers behind its record are rough. Nurse staffing sits at 3.42 hours per resident day, about 11% under the national average, and weekends drop roughly 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 59.6% against a national 45.8%, meaning more than half the nursing team left within a year. The current inspection record carries 67 deficiencies, including 8 at harm or jeopardy level and 12 tied to abuse, plus six fines totaling $175,366. Its last inspection was September 17, 2025. A nonprofit label doesn't guarantee better care here.
Axiom Gardens of Flora is a 97-bed for-profit home in Clay County, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.13 hours per resident day, roughly 19 percent under the national average, and it thins out further on weekends. Staff turnover runs 69.2 percent against a national average near 46, meaning most of the people caring for your family member are new to the building. The current record shows 40 deficiencies, including 5 at the harm or jeopardy level and 8 tied to abuse. Four fines total $184,358, and the last inspection was March 2, 2026.
Loft Rehab Of Decatur runs 150 certified beds under corporate ownership, and the numbers worth knowing are the staffing and inspection record. Nurses provide about 3.03 hours of care per resident per day, roughly a fifth below the national average, and weekend coverage drops further below what the home staffs on weekdays. Annual turnover sits at 55.7 percent against a national 45.8. Inspectors cited 95 deficiencies on the current record, 13 of them at harm or jeopardy level and 11 abuse-related, with $278,764 in fines across four penalties. The last inspection was March 2025, so the record is current, not stale.
St. Paul's Senior Community runs about 3.68 nurse hours per resident day, roughly 5% under the national average, and weekends drop another 10% below its own weekday numbers. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale, and in turnover: 60.8% of staff leave each year, well above the 45.8% national figure. The inspection record is heavier still, 39 deficiencies, 10 of them at harm or jeopardy level, one tied to abuse, and five fines totaling $227,658. Ownership is for-profit through a limited liability company. The last inspection was in January 2025, so the record is current, not stale.
Buffalo Prairie Center has 66 deficiencies on its record, including two at the harm or jeopardy level and three tied to abuse. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a pattern of serious problems, and the last inspection in October 2024 was recent enough that this is a current picture, not an old one. The one number that looks fine, 4.03 nurse hours per resident day, slightly above the national average, is undercut by 77.2% annual staff turnover, well above the 45.8% national figure. Ownership is a for-profit limited liability company, and a $92,080 fine is on file. High turnover means the people providing that care keep changing.
Legendary Health Care Center runs on 2.75 nurse hours per resident day, roughly 29% under the national average of 3.86, and weekend coverage drops about 16% below its own weekday level. Its current record carries 42 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $93,208 in CMS fines across two penalties. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1 out of 5. The last inspection was May 20, 2025, so the record is recent. If you're considering this home, ask specifically how they cover weekends and what's changed since that May inspection.
Aspire Senior Living Platte City runs 97 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.16 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 66.2% against a national 45.8% means caregivers cycle through fast, which matters for anyone who needs consistent eyes on a resident. The inspection record shows 70 deficiencies, including one at harm or jeopardy level and 11 abuse-related, with $70,892 in fines. A June 2025 inspection is recent enough that the picture is current, not stale.
Crestwood runs on 2.62 nursing hours per resident per day, roughly a third below the national average, and weekends drop another 12% under its own weekday level. That thin coverage shows up in the numbers families can verify: a 1-star health inspection rating, 81 deficiencies on record, 8 of them serious enough to threaten harm, and 25 tied to abuse. Annual turnover sits at 64.6%, well past the 45.8% national figure, meaning the aides and nurses around your relative are likely new to the building. Two fines totaling $146,887 are on file from the state's last visit in June 2024, and the limited liability company that owns this 150-bed home answers to no one above it.
Emerald Nursing & Rehab Brookside is a 173-bed for-profit in Lincoln, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.23 hours per resident per day against a national average of 3.86, and weekends drop about 8% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover runs 62.8%, well above the 45.8% national figure, which matters because unfamiliar caregivers miss changes in a resident's condition. The current inspection record shows 44 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with three fines totaling $37,998 and a survey completed February 11, 2026. All three CMS star ratings land at one out of five.
Southern Pointe Living Center runs on 1.87 nursing hours per resident per day, roughly half the national average of 3.86. That staffing shortfall sits alongside a 72.5% annual turnover rate, well above the 45.8% national figure, which means the aides and nurses caring for your family member are likely newer and still learning the building. The inspection record shows 25 deficiencies, including two at the level of actual harm or jeopardy and one tied to abuse, and the last state visit was September 18, 2025. One fine of $38,445 has been levied against this for-profit corporation. Each of the three CMS star ratings, health inspections, quality measures, staffing, comes in at just one or two out of five.
Sterling Rehabilitation and Nursing runs 63 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.22 hours per resident day against a national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover is 60.3%, well above the 45.8% national figure, which means the people caring for residents are often new.
The current inspection record carries 34 deficiencies, five of them at the harm or jeopardy level and four tied to abuse. Four fines total $118,155, and the last inspection was August 2025.
Axiom Healthcare of Mount Vernon runs on thinner nurse staffing than most homes, about 3.60 hours per resident day against a national average near 3.86, and weekends drop roughly 17% below what the building staffs during the week. Turnover sits at 60.4% a year, well above the 45.8% national mark, so the people caring for residents keep changing. The inspection record is the heavier problem: 64 deficiencies, 11 of them involving harm or jeopardy, five tied to abuse, and seven fines totaling $355,763, with the last inspection in December 2024. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 1 out of 5. For-profit corporate ownership.
The Haven of Ridgeview runs on 3.48 nurse hours per resident day, roughly a tenth under the national average, and weekends drop about 16% below what the home itself staffs on weekdays. Annual turnover sits at 57.4%, well above the 45.8% national figure, so the people around your relative keep changing. The record shows 39 deficiencies, five serious enough to put residents in harm's way and three tied to abuse, with $84,882 in fines across three penalties and a state inspection in August 2025. It's a for-profit limited liability company, and the low quality-measure score suggests the day-to-day care isn't tracking well either.
Frequently asked questions
How many chain-owned nursing homes are there in the United States?
There are 10,187 chain-owned Medicare-certified nursing homes in the United States, 69% of the 14,697 nursing homes there.
Are chain-owned nursing homes better staffed?
In the United States they average 3.7 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of -0.16 hours. Staff turnover averages 46.8% against 45.8%.
Which chain-owned nursing home grades best in the United States?